期刊文献+

不同血液净化方式改善透析病人不宁腿综合征及甲状旁腺激素的临床观察 被引量:5

Clinical observation on the improvement of restless legs syndrome and parathormone in patients accepting different ways of hemodialysis
下载PDF
导出
摘要 [目的]研究血液透析(HD)、血液透析滤过(HDF)、血液透析联合血液灌流(HD+HP)改善不宁腿综合征(RLS)及血清甲状旁腺激素(iPTH)的清除情况。[方法]根据国际不宁退综合征委员会(IRLSSG)的诊断标准评估透析病人RLS的评分情况,选择评分≥7分的病人30例,随机分为3组,每组10例。A组采用每周HD治疗3次;B组采用每周2次HD治疗、1次HDF治疗;C组采用每周2次HD治疗、1次HD+HP治疗。治疗3个月,观察RLS评分和iPTH的变化。[结果]3组治疗前后RLS评分差异均有统计学意义(P<0.05),C组下降最明显,B组其次;B组与C组治疗前后iPTH差异有统计学意义,C组iPTH下降幅度最大,B组次之。[结论]3种血液净化方式均能改善透析病人RLS症状,但采用每周2次HD、1次HD+HP治疗效果最佳;HDF与HD+HP对iPTH的清除效果较好。
出处 《护理研究(上旬版)》 2011年第1期48-49,共2页 Chinese Nursing Researsh
  • 相关文献

参考文献3

二级参考文献40

  • 1Lomonte C, Martino R, Selvaggiolo M, et al. Calcitriol pulse therapy and histology of parathyroid glands in hemodialysis patients. J Nephrol,2003, 16: 716-720.
  • 2London GM, Marry C, Marchais SJ, et al. Arterial calcifications and bone histomorphometry in end-stage renal disease. J Am Soc Nephrol,2004, 15: 1943-1951.
  • 3Brancaccio D, Cozzolino M, Gallieni M. Hyperparathyroidism and anemia in uremic subjects: a combined therapeutic approach. J Am Sac Nephrol, 2004, 15 (Suppl 1): S21-144.
  • 4Kucharska E, Stompar T, Salowica W, et al. Renal osteodystrophy in dialysis patients as estimated by three paint bone densitometry. Prezgl Lek, 2000, 57: 334.
  • 5Frie U, Schober-Halstenberg HJ. Annual report on dialysis treatment and renal transplantation in german for 2001/2002. Available at: www.quasi-niere.de.Accessed:June 20,2004.
  • 6ERA-EDTA Registry. Annual Academic Medical Center. Amsterdam, The Nethterlands, 2003.
  • 7Pedrini LA. On-line hemodiafiltration: technique and efficiency. J Nephrol, 2003,16:S57-S63.
  • 8Morti SM, Zydney AL. Protein-membrane interactions during hemodialysis: effects on solute transport. ASAIO J, 1998,44:319-326.
  • 9Wizemann V, Kulz M, Techert F, et al. Efficacy of hemodiafiltration. Nephrol Dial Transplant, 2001,16(Suppl 4): s27-s30.
  • 10Fujimori A, Naito H, Miyazaki T. Adsorption of complement, cytokines, and proteins by different dialysis membrane materials: evaluateon by confocal laser scaning fluorescence microscopy. Artif Organs, 1998,22:1014-1017.

共引文献150

同被引文献61

  • 1王成,娄探奇,唐骅,陈珠江,石成钢,尹培达,余学清.常用血液净化方法对维持性血液透析患者血清甲状旁腺素的清除效果[J].中华急诊医学杂志,2005,14(1):61-63. 被引量:108
  • 2郑宏,高洁.不同血液净化方法治疗尿毒症患者皮肤瘙痒[J].临床军医杂志,2010,38(6):1037-1039. 被引量:16
  • 3张春华,王世相.不同血液净化方法对血清β_2-微球蛋白和甲状旁腺激素清除效果的比较[J].临床内科杂志,2007,24(6):417-418. 被引量:9
  • 4孙艳艳,方敬爱.慢性肾衰歇伴甲状旁腺激素升高的相关因素分析[J].中国中西医结合杂志,2006,7(12):700-703.
  • 5Allen RP,Picchietti D,Hening WA,et al.Restless legs syndrome : diagnostic criteria, special considerations,and epidemiology.A report from the restless legs syndrome di- agnosis and epidemiology workshop at the National Insti- tutes of Heahh[J].Sleep Med ,2003,4(2) : 101-119.
  • 6Shinzato T,Maeda K.Push/pull hemodiafiltration [J].Con- trib Nephro1,2007,158:169-176.
  • 7Waiters AS,Lebrocq C,Dhar A,et al.Validation of the In- ternational Restless Legs Syndrome Study Group rating scale for restless legs syndrome[J].Sleep Med,2003,4(2) : 121-132.
  • 8Collado eidel V, Kohnen R,Samtlebenw,et al.Clinical and biochemical findings in uremic patientswith and without restless legs syadrome[J].Am J Kidney Dis, 1998,31 (2) :324.
  • 9Ganesh SK,Stack AG,Levin NW,et aLAssoiciation of ele- vated serum PO4,Ca×PO4,product and parathyroid hor- mone with cardiac mortality risk in chronic hemodialysis patients[J].J Am Soc Nephro1,2001,12(10) :2131-2138.
  • 10Brancaccio D,Cozzolino M,Callieni M.Hyperparathyroidism and anemia in uremic subjects:a conbined therapentic approach[J].J Am Soc Nephrol,2004,15 Suppl l:S212-214.

引证文献5

二级引证文献34

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部